Executive Summary: Clinical Practice Guideline: Safe Medication Use in the ICU

Kane‐Gill, Sandra L.; Dasta, Joseph F.; Buckley, Mitchell S.; Devabhakthuni, Sandeep; Liu, Mengmeng; Cohen, Henry; George, Elizabeth; Pohlman, Anne S.; Agarwal, Swati; Henneman, Elizabeth A.; Bejian, Sharon; Berenholtz, Sean M.; Pepin, Jodie L.; Scanlon, Matthew C.; Smith, Brian S.

doi:10.1097/ccm.0000000000002519

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Furthermore, in 2017, guidelines for medication safety in ICU were published, which included a recommendation to implement computerized provider order entry systems in ICUs as part of multiple strategies for preventing medication errors in critically ill patients. 18 …”

Section: Discussionmentioning

confidence: 99%

Characteristics of Critical Care Pharmacy Services in Saudi Arabia

Ismail,

Alhammad,

Alshaya

et al. 2023

JMDH

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Purpose Critical care pharmacists (CCPs) in intensive care units (ICUs) are associated with improved patient outcomes, reduced adverse events (ADEs), and reduced mortality rates. This study aimed to describe the activities and pharmacy services provided by CCP in ICUs in hospitals in Saudi Arabia (SA). Methods In this cross-sectional prospective study, a questionnaire was electronically sent to CCPs practicing in SA between September 2022 and January 2023. A modified version of a previously published and validated survey was sent to the Saudi Critical Care and Emergency Specialty Network. The questionnaire focused on four CCP activities: clinical, educational, scholarly, and administrative. The level of services was similarly classified into three domains: fundamental, optimal, and desirable. The responses were analyzed using descriptive statistics. Results The study surveyed 44 CCPs in SA, with a response rate of 52.3%. These CCPs were predominantly located in the central (47.8%) and eastern (30.4%) regions. Hospitals’ ICU bed capacity ranged from 10 to 100, with 82% reporting mixed medical and surgical ICUs. Most CCPs had 4–10 years of critical care experience, and 60% held advanced degrees, with a substantial portion having completed PGY-1 and PGY-2 pharmacy residencies. CCPs were actively involved in patient care, with 86.9% participating in multidisciplinary rounds five days a week. They were engaged in clinical, educational, and administrative activities, with 82.6% involved in retrospective research and educational activities. Furthermore, 78.2% were engaged in pharmacy and therapeutic committees, 56.5% in critical care committees, and 56.5% in pharmacy department policy development. Conclusion The study reveals that CCPs in SA play integral roles in ICU patient care and contribute significantly to clinical, educational, and administrative activities. The study highlights the need for standardized CCP-to-patient ratios and further support for CCPs to expand their services, thus contributing to enhanced healthcare quality.

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Section: Discussionmentioning

confidence: 99%

Characteristics of Critical Care Pharmacy Services in Saudi Arabia

Ismail,

Alhammad,

Alshaya

et al. 2023

JMDH

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“…It is in this case that patients are treated in ICUs, which specialize in providing continuous monitoring and advanced therapeutic and diagnostic technologies [52]. Large amounts of data from many patients stored in electronic patient-data management systems are presented to ICU information systems, making it increasingly difficult to identify the most important information for care decisions [53], [54]. To improve efficiency and effectiveness in these ICUs, the patient flow needs to be focused, since it is central to an organization's capacity to provide specialized and very crucial healthcare services, while other operations provide support with the aim of creating conditions for an efficient and effective patient flow [55].…”

Section: Related Workmentioning

confidence: 99%

Bed Allocation Optimization Based on Survival Analysis, Treatment Trajectory and Costs Estimations

Karboub

Tabaa

2023

IEEE Access

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The intensive care units are a key element of patient flow, but due to high demand and an alternating rate of arriving patients, these units are often challenged by insufficient capacity, very high expenses, and in some cases, an unfair distribution of resources. Proper allocation of resources to match demand is, therefore, a vital task for many wards in these units. The patient bed assignment problem consists of managing in the best possible way a set of beds with equipment to be assigned to a particular type of patient. However, in real-world scenarios, constraints like a possible treatment trajectory are violated in most cases. In this paper, we present a new approach for solving patient bed assignment problems constrained by targets on survival function estimation, cost estimation, and possible treatment trajectory estimation for patients with cardiovascular diseases. For survival function estimations, we used the nave estimator and Kaplan-Meier, and for treatment effect estimations, we used logistic regression and T-learning. Estimations of the three components are used as weights in a genetic algorithm. This technique allows for the consideration of various constraints, which, unlike other techniques, allows for the selection of dominant solutions as solutions that satisfy dominant constraints. In addition, we demonstrate the robustness of our approach by testing the algorithms with multiple classes of patients, testing multiple sets of parameters, and comparing our results with several similar research studies showing the added value of working on this management axis in hospitals using the new approach to bed allocation.

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Prevention of Complications in the Cardiac Intensive Care Unit: A Scientific Statement From the American Heart Association

Fordyce¹,

Katz²,

Alviar³

et al. 2020

Circulation

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Contemporary cardiac intensive care units (CICUs) have an increasing prevalence of noncardiovascular comorbidities and multisystem organ dysfunction. However, little guidance exists to support the development of best-practice principles specific to the CICU. This scientific statement evaluates strategies to avoid the potentially preventable complications encountered within contemporary CICUs, focusing on those that are most applicable to the CICU environment. This scientific statement reviews evidence-based practices derived in non–CICU populations, assesses their relevance to CICU practice, and highlights key knowledge gaps warranting further investigation to attenuate patient risk.

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Executive Summary: Clinical Practice Guideline: Safe Medication Use in the ICU

Cited by 3 publications

References 5 publications

Characteristics of Critical Care Pharmacy Services in Saudi Arabia

Characteristics of Critical Care Pharmacy Services in Saudi Arabia

Bed Allocation Optimization Based on Survival Analysis, Treatment Trajectory and Costs Estimations

Prevention of Complications in the Cardiac Intensive Care Unit: A Scientific Statement From the American Heart Association

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